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• What Is an Observational Study? | Guide & Examples

What Is an Observational Study? | Guide & Examples

Published on March 31, 2022 by Tegan George . Revised on June 22, 2023.

An observational study is used to answer a research question based purely on what the researcher observes. There is no interference or manipulation of the research subjects, and no control and treatment groups .

These studies are often qualitative in nature and can be used for both exploratory and explanatory research purposes. While quantitative observational studies exist, they are less common.

Observational studies are generally used in hard science, medical, and social science fields. This is often due to ethical or practical concerns that prevent the researcher from conducting a traditional experiment . However, the lack of control and treatment groups means that forming inferences is difficult, and there is a risk of confounding variables and observer bias impacting your analysis.

Table of contents

Types of observation, types of observational studies, observational study example, advantages and disadvantages of observational studies, observational study vs. experiment, other interesting articles, frequently asked questions.

There are many types of observation, and it can be challenging to tell the difference between them. Here are some of the most common types to help you choose the best one for your observational study.

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There are three main types of observational studies: cohort studies, case–control studies, and cross-sectional studies .

Cohort studies

Cohort studies are more longitudinal in nature, as they follow a group of participants over a period of time. Members of the cohort are selected because of a shared characteristic, such as smoking, and they are often observed over a period of years.

Case–control studies

Case–control studies bring together two groups, a case study group and a control group . The case study group has a particular attribute while the control group does not. The two groups are then compared, to see if the case group exhibits a particular characteristic more than the control group.

For example, if you compared smokers (the case study group) with non-smokers (the control group), you could observe whether the smokers had more instances of lung disease than the non-smokers.

Cross-sectional studies

Cross-sectional studies analyze a population of study at a specific point in time.

This often involves narrowing previously collected data to one point in time to test the prevalence of a theory—for example, analyzing how many people were diagnosed with lung disease in March of a given year. It can also be a one-time observation, such as spending one day in the lung disease wing of a hospital.

Observational studies are usually quite straightforward to design and conduct. Sometimes all you need is a notebook and pen! As you design your study, you can follow these steps.

Step 1: Identify your research topic and objectives

The first step is to determine what you’re interested in observing and why. Observational studies are a great fit if you are unable to do an experiment for practical or ethical reasons , or if your research topic hinges on natural behaviors.

Step 2: Choose your observation type and technique

In terms of technique, there are a few things to consider:

• Are you determining what you want to observe beforehand, or going in open-minded?
• Is there another research method that would make sense in tandem with an observational study?
• If yes, make sure you conduct a covert observation.
• If not, think about whether observing from afar or actively participating in your observation is a better fit.
• How can you preempt confounding variables that could impact your analysis?
• You could observe the children playing at the playground in a naturalistic observation.
• You could spend a month at a day care in your town conducting participant observation, immersing yourself in the day-to-day life of the children.
• You could conduct covert observation behind a wall or glass, where the children can’t see you.

Overall, it is crucial to stay organized. Devise a shorthand for your notes, or perhaps design templates that you can fill in. Since these observations occur in real time, you won’t get a second chance with the same data.

Step 3: Set up your observational study

Before conducting your observations, there are a few things to attend to:

• Plan ahead: If you’re interested in day cares, you’ll need to call a few in your area to plan a visit. They may not all allow observation, or consent from parents may be needed, so give yourself enough time to set everything up.
• Determine your note-taking method: Observational studies often rely on note-taking because other methods, like video or audio recording, run the risk of changing participant behavior.
• Get informed consent from your participants (or their parents) if you want to record:  Ultimately, even though it may make your analysis easier, the challenges posed by recording participants often make pen-and-paper a better choice.

Step 4: Conduct your observation

After you’ve chosen a type of observation, decided on your technique, and chosen a time and place, it’s time to conduct your observation.

Here, you can split them into case and control groups. The children with siblings have a characteristic you are interested in (siblings), while the children in the control group do not.

When conducting observational studies, be very careful of confounding or “lurking” variables. In the example above, you observed children as they were dropped off, gauging whether or not they were upset. However, there are a variety of other factors that could be at play here (e.g., illness).

Step 5: Analyze your data

After you finish your observation, immediately record your initial thoughts and impressions, as well as follow-up questions or any issues you perceived during the observation. If you audio- or video-recorded your observations, you can transcribe them.

Your analysis can take an inductive  or deductive approach :

• If you conducted your observations in a more open-ended way, an inductive approach allows your data to determine your themes.
• If you had specific hypotheses prior to conducting your observations, a deductive approach analyzes whether your data confirm those themes or ideas you had previously.

Next, you can conduct your thematic or content analysis . Due to the open-ended nature of observational studies, the best fit is likely thematic analysis .

Step 6: Discuss avenues for future research

Observational studies are generally exploratory in nature, and they often aren’t strong enough to yield standalone conclusions due to their very high susceptibility to observer bias and confounding variables. For this reason, observational studies can only show association, not causation .

If you are excited about the preliminary conclusions you’ve drawn and wish to proceed with your topic, you may need to change to a different research method , such as an experiment.

• Observational studies can provide information about difficult-to-analyze topics in a low-cost, efficient manner.
• They allow you to study subjects that cannot be randomized safely, efficiently, or ethically .
• They are often quite straightforward to conduct, since you just observe participant behavior as it happens or utilize preexisting data.
• They’re often invaluable in informing later, larger-scale clinical trials or experimental designs.

Disadvantages

• Observational studies struggle to stand on their own as a reliable research method. There is a high risk of observer bias and undetected confounding variables or omitted variables .
• They lack conclusive results, typically are not externally valid or generalizable, and can usually only form a basis for further research.
• They cannot make statements about the safety or efficacy of the intervention or treatment they study, only observe reactions to it. Therefore, they offer less satisfying results than other methods.

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The key difference between observational studies and experiments is that a properly conducted observational study will never attempt to influence responses, while experimental designs by definition have some sort of treatment condition applied to a portion of participants.

However, there may be times when it’s impossible, dangerous, or impractical to influence the behavior of your participants. This can be the case in medical studies, where it is unethical or cruel to withhold potentially life-saving intervention, or in longitudinal analyses where you don’t have the ability to follow your group over the course of their lifetime.

An observational study may be the right fit for your research if random assignment of participants to control and treatment groups is impossible or highly difficult. However, the issues observational studies raise in terms of validity , confounding variables, and conclusiveness can mean that an experiment is more reliable.

If you’re able to randomize your participants safely and your research question is definitely causal in nature, consider using an experiment.

If you want to know more about statistics , methodology , or research bias , make sure to check out some of our other articles with explanations and examples.

• Student’s  t -distribution
• Normal distribution
• Null and Alternative Hypotheses
• Chi square tests
• Confidence interval
• Quartiles & Quantiles
• Cluster sampling
• Stratified sampling
• Data cleansing
• Reproducibility vs Replicability
• Peer review
• Prospective cohort study

Research bias

• Implicit bias
• Cognitive bias
• Placebo effect
• Hawthorne effect
• Hindsight bias
• Affect heuristic
• Social desirability bias

An observational study is a great choice for you if your research question is based purely on observations. If there are ethical, logistical, or practical concerns that prevent you from conducting a traditional experiment , an observational study may be a good choice. In an observational study, there is no interference or manipulation of the research subjects, as well as no control or treatment groups .

The key difference between observational studies and experimental designs is that a well-done observational study does not influence the responses of participants, while experiments do have some sort of treatment condition applied to at least some participants by random assignment .

A quasi-experiment is a type of research design that attempts to establish a cause-and-effect relationship. The main difference with a true experiment is that the groups are not randomly assigned.

Exploratory research aims to explore the main aspects of an under-researched problem, while explanatory research aims to explain the causes and consequences of a well-defined problem.

Experimental design means planning a set of procedures to investigate a relationship between variables . To design a controlled experiment, you need:

• A testable hypothesis
• At least one independent variable that can be precisely manipulated
• At least one dependent variable that can be precisely measured

When designing the experiment, you decide:

• How you will manipulate the variable(s)
• How you will control for any potential confounding variables
• How many subjects or samples will be included in the study
• How subjects will be assigned to treatment levels

Experimental design is essential to the internal and external validity of your experiment.

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Statistics By Jim

Making statistics intuitive

What is an Observational Study: Definition & Examples

By Jim Frost 10 Comments

What is an Observational Study?

An observational study uses sample data to find correlations in situations where the researchers do not control the treatment, or independent variable, that relates to the primary research question. The definition of an observational study hinges on the notion that the researchers only observe subjects and do not assign them to the control and treatment groups. That’s the key difference between an observational study vs experiment. These studies are also known as quasi-experiments and correlational studies .

True experiments assign subject to the experimental groups where the researchers can manipulate the conditions. Unfortunately, random assignment is not always possible. For these cases, you can conduct an observational study.

In this post, learn about the types of observational studies, why they are susceptible to confounding variables, and how they compare to experiments. I’ll close this post by reviewing a published observational study about vitamin supplement usage.

Observational Study Definition

In an observational study, the researchers only observe the subjects and do not interfere or try to influence the outcomes. In other words, the researchers do not control the treatments or assign subjects to experimental groups. Instead, they observe and measure variables of interest and look for relationships between them. Usually, researchers conduct observational studies when it is difficult, impossible, or unethical to assign study participants to the experimental groups randomly. If you can’t randomly assign subjects to the treatment and control groups, then you observe the subjects in their self-selected states.

Observational Study vs Experiment

Randomized experiments provide better results than observational studies. Consequently, you should always use a randomized experiment whenever possible. However, if randomization is not possible, science should not come to a halt. After all, we still want to learn things, discover relationships, and make discoveries. For these cases, observational studies are a good alternative to a true experiment. Let’s compare the differences between an observational study vs. an experiment.

Random assignment in an experiment reduces systematic differences between experimental groups at the beginning of the study, which increases your confidence that the treatments caused any differences between groups you observe at the end of the study. In contrast, an observational study uses self-formed groups that can have pre-existing differences, which introduces the problem of confounding variables. More on that later!

In a randomized experiment, randomization tends to equalize confounders between groups and, thereby, prevents problems. In my post about random assignment , I describe that process as an elegant solution for confounding variables. You don’t need to measure or even know which variables are confounders, and randomization will still mitigate their effects. Additionally, you can use control variables in an experiment to keep the conditions as consistent as possible. For more detail about the differences, read Observational Study vs. Experiment .

If you’re looking for a middle ground choice between observational studies vs experiments, consider using a quasi-experimental design. These methods don’t require you to randomly assign participants to the experimental groups and still allow you to draw better causal conclusions about an intervention than an observational study. Learn more about Quasi-Experimental Design Overview & Examples .

Related posts : Experimental Design: Definition and Examples , Randomized Controlled Trials (RCTs) , and Control Groups in Experiments

Observational Study Examples

Consider using an observational study when random assignment for an experiment is problematic. This approach allows us to proceed and draw conclusions about effects even though we can’t control the independent variables. The following observational study examples will help you understand when and why to use them.

For example, if you’re studying how depression affects performance of an activity, it’s impossible to assign subjects to the depression and control group randomly. However, you can have subjects with and without depression perform the activity and compare the results in an observational study.

Or imagine trying to assign subjects to cigarette smoking and non-smoking groups randomly?! However, you can observe people in both groups and assess the differences in health outcomes in an observational study.

Suppose you’re studying a treatment for a disease. Ideally, you recruit a group of patients who all have the disease, and then randomly assign them to the treatment and control group. However, it’s unethical to withhold the treatment, which rules out a control group. Instead, you can compare patients who voluntarily do not use the medicine to those who do use it.

In all these observational study examples, the researchers do not assign subjects to the experimental groups. Instead, they observe people who are already in these groups and compare the outcomes. Hence, the scientists must use an observational study vs. an experiment.

Types of Observational Studies

The observational study definition states that researchers only observe the outcomes and do not manipulate or control factors . Despite this limitation, there various types of observational studies.

The following experimental designs are three standard types of observational studies.

• Cohort Study : A longitudinal observational study that follows a group who share a defining characteristic. These studies frequently determine whether exposure to risk factor affects an outcome over time.
• Case-Control Study : A retrospective observational study that compares two existing groups—the case group with the condition and the control group without it. Researchers compare the groups looking for potential risk factors for the condition.
• Cross-Sectional Study : Takes a snapshot of a moment in time so researchers can understand the prevalence of outcomes and correlations between variables at that instant.

Qualitative research studies are usually observational in nature, but they collect non-numeric data and do not perform statistical analyses.

Retrospective studies must be observational.

Later in this post, we’ll closely examine a quantitative observational study example that assesses vitamin supplement consumption and how that affects the risk of death. It’s possible to use random assignment to place each subject in either the vitamin treatment group or the control group. However, the study assesses vitamin consumption in 40,000 participants over the course of two decades. It’s unrealistic to enforce the treatment and control protocols over such a long time for so many people!

Drawbacks of Observational Studies

While observational studies get around the inability to assign subjects randomly, this approach opens the door to the problem of confounding variables. A confounding variable, or confounder, correlates with both the experimental groups and the outcome variable. Because there is no random process that equalizes the experimental groups in an observational study, confounding variables can systematically differ between groups when the study begins. Consequently, confounders can be the actual cause for differences in outcome at the end of the study rather than the primary variable of interest. If an experiment does not account for confounding variables, confounders can bias the results and create spurious correlations .

Performing an observational study can decrease the internal validity of your study but increase the external validity. Learn more about internal and external validity .

Let’s see how this works. Imagine an observational study that compares people who take vitamin supplements to those who do not. People who use vitamin supplements voluntarily will tend to have other healthy habits that exist at the beginning of the study. These healthy habits are confounding variables. If there are differences in health outcomes at the end of the study, it’s possible that these healthy habits actually caused them rather than the vitamin consumption itself. In short, confounders confuse the results because they provide alternative explanations for the differences.

Despite the limitations, an observational study can be a valid approach. However, you must ensure that your research accounts for confounding variables. Fortunately, there are several methods for doing just that!

Learn more about Correlation vs. Causation: Understanding the Differences .

Accounting for Confounding Variables in an Observational Study

Because observational studies don’t use random assignment, confounders can be distributed disproportionately between conditions. Consequently, experimenters need to know which variables are confounders, measure them, and then use a method to account for them. It involves more work, and the additional measurements can increase the costs. And there’s always a chance that researchers will fail to identify a confounder, not account for it, and produce biased results. However, if randomization isn’t an option, then you probably need to consider an observational study.

Trait matching and statistically controlling confounders using multivariate procedures are two standard approaches for incorporating confounding variables.

Related post : Causation versus Correlation in Statistics

Matching in Observational Studies

Matching is a technique that involves selecting study participants with similar characteristics outside the variable of interest or treatment. Rather than using random assignment to equalize the experimental groups, the experimenters do it by matching observable characteristics. For every participant in the treatment group, the researchers find a participant with comparable traits to include in the control group. Matching subjects facilitates valid comparisons between those groups. The researchers use subject-area knowledge to identify characteristics that are critical to match.

For example, a vitamin supplement study using matching will select subjects who have similar health-related habits and attributes. The goal is that vitamin consumption will be the primary difference between the groups, which helps you attribute differences in health outcomes to vitamin consumption. However, the researchers are still observing participants who decide whether they consume supplements.

Matching has some drawbacks. The experimenters might not be aware of all the relevant characteristics they need to match. In other words, the groups might be different in an essential aspect that the researchers don’t recognize. For example, in the hypothetical vitamin study, there might be a healthy habit or attribute that affects the outcome that the researchers don’t measure and match. These unmatched characteristics might cause the observed differences in outcomes rather than vitamin consumption.

Learn more about Matched Pairs Design: Uses & Examples .

Using Multiple Regression in Observational Studies

Random assignment and matching use different methods to equalize the experimental groups in an observational study. However, statistical techniques, such as multiple regression analysis , don’t try to equalize the groups but instead use a model that accounts for confounding variables. These studies statistically control for confounding variables.

In multiple regression analysis, including a variable in the model holds it constant while you vary the variable/treatment of interest. For information about this property, read my post When Should I Use Regression Analysis?

As with matching, the challenge is to identify, measure, and include all confounders in the regression model. Failure to include a confounding variable in a regression model can cause omitted variable bias to distort your results.

Next, we’ll look at a published observational study that uses multiple regression to account for confounding variables.

Related post : Independent and Dependent Variables in a Regression Model

Vitamin Supplement Observational Study Example

Murso et al. (2011)* use a longitudinal observational study that ran 22 years to assess differences in death rates for subjects who used vitamin supplements regularly compared to those who did not use them. This study used surveys to record the characteristics of approximately 40,000 participants. The surveys asked questions about potential confounding variables such as demographic information, food intake, health details, physical activity, and, of course, supplement intake.

Because this is an observational study, the subjects decided for themselves whether they were taking vitamin supplements. Consequently, it’s safe to assume that supplement users and non-users might be different in other ways. From their article, the researchers found the following pre-existing differences between the two groups:

Supplement users had a lower prevalence of diabetes mellitus, high blood pressure, and smoking status; a lower BMI and waist to hip ratio, and were less likely to live on a farm. Supplement users had a higher educational level, were more physically active and were more likely to use estrogen replacement therapy. Also, supplement users were more likely to have a lower intake of energy, total fat, and monounsaturated fatty acids, saturated fatty acids and to have a higher intake of protein, carbohydrates, polyunsaturated fatty acids, alcohol, whole grain products, fruits, and vegetables.

Whew! That’s a long list of differences! Supplement users were different from non-users in a multitude of ways that are likely to affect their risk of dying. The researchers must account for these confounding variables when they compare supplement users to non-users. If they do not, their results can be biased.

This example illustrates a key difference between an observational study vs experiment. In a randomized experiment, the randomization would have equalized the characteristics of those the researchers assigned to the treatment and control groups. Instead, the study works with self-sorted groups that have numerous pre-existing differences!

Using Multiple Regression to Statistically Control for Confounders

To account for these initial differences in the vitamin supplement observational study, the researchers use regression analysis and include the confounding variables in the model.

The researchers present three regression models. The simplest model accounts only for age and caloric intake. Next, are two models that include additional confounding variables beyond age and calories. The first model adds various demographic information and seven health measures. The second model includes everything in the previous model and adds several more specific dietary intake measures. Using statistical significance as a guide for specifying the correct regression model , the researchers present the model with the most variables as the basis for their final results.

It’s instructive to compare the raw results and the final regression results.

Raw results

The raw differences in death risks for consumers of folic acid, vitamin B6, magnesium, zinc, copper, and multivitamins are NOT statistically significant. However, the raw results show a significant reduction in the death risk for users of B complex, C, calcium, D, and E.

However, those are the raw results for the observational study, and they do not control for the long list of differences between the groups that exist at the beginning of the study. After using the regression model to control for the confounding variables statistically, the results change dramatically.

Adjusted results

Of the 15 supplements that the study tracked in the observational study, researchers found consuming seven of these supplements were linked to a statistically significant INCREASE in death risk ( p-value < 0.05): multivitamins (increase in death risk 2.4%), vitamin B6 (4.1%), iron (3.9%), folic acid (5.9%), zinc (3.0%), magnesium (3.6%), and copper (18.0%). Only calcium was associated with a statistically significant reduction in death risk of 3.8%.

In short, the raw results suggest that those who consume supplements either have the same or lower death risks than non-consumers. However, these results do not account for the multitude of healthier habits and attributes in the group that uses supplements.

In fact, these confounders seem to produce most of the apparent benefits in the raw results because, after you statistically control the effects of these confounding variables, the results worsen for those who consume vitamin supplements. The adjusted results indicate that most vitamin supplements actually increase your death risk!

This research illustrates the differences between an observational study vs experiment. Namely how the pre-existing differences between the groups allow confounders to bias the raw results, making the vitamin consumption outcomes look better than they really are.

In conclusion, if you can’t randomly assign subjects to the experimental groups, an observational study might be right for you. However, be aware that you’ll need to identify, measure, and account for confounding variables in your experimental design.

Jaakko Mursu, PhD; Kim Robien, PhD; Lisa J. Harnack, DrPH, MPH; Kyong Park, PhD; David R. Jacobs Jr, PhD; Dietary Supplements and Mortality Rate in Older Women: The Iowa Women’s Health Study ; Arch Intern Med . 2011;171(18):1625-1633.

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Reader Interactions

December 30, 2023 at 5:05 am

I see, but our professor required us to indicate what year it was put into the article. May you tell me what year was this published originally? <3

December 30, 2023 at 3:40 pm

December 29, 2023 at 10:46 am

Hi, may I use your article as a citation for my thesis paper? If so, may I know the exact date you published this article? Thank you!

December 29, 2023 at 2:13 pm

Definitely feel free to cite this article! 🙂

When citing online resources, you typically use an “Accessed” date rather than a publication date because online content can change over time. For more information, read Purdue University’s Citing Electronic Resources .

November 18, 2021 at 10:09 pm

Love your content and has been very helpful!

Can you please advise the question below using an observational data set:

I have three years of observational GPS data collected on athletes (2019/2020/2021). Approximately 14-15 athletes per game and 8 games per year. The GPS software outputs 50+ variables for each athlete in each game, which we have narrowed down to 16 variables of interest from previous research.

2 factors 1) Period (first half, second half, and whole game), 2) Position (two groups with three subgroups in each – forwards (group 1, group 2, group 3) and backs (group 1, group 2, group 3))

16 variables of interest – all numerical and scale variables. Some of these are correlated, but not all.

My understanding is that I can use a oneway ANOVA for each year on it’s own, using one factor at a time (period or position) with post hoc analysis. This is fine, if data meets assumptions and is normally distributed. This tells me any significant interactions between variables of interest with chosen factor. For example, with position factor, do forwards in group 1 cover more total running distance than forwards in group 2 or backs in group 3.

However, I want to go deeper with my analysis. If I want to see if forwards in group 1 cover more total running distance in period 1 than backs in group 3 in the same period, I need an additional factor and the oneway ANOVA does not suit. Therefore I can use a twoway ANOVA instead of 2 oneway ANOVA’s and that solves the issue, correct?

This is complicated further by looking to compare 2019 to 2020 or 2019 to 2021 to identify changes over time, which would introduce a third independent variable.

I believe this would require a threeway ANOVA for this observational data set. 3 factors – Position, Period, and Year?

Are there any issues or concerns you see at first glance?

I appreciate your time and consideration.

April 12, 2021 at 2:02 pm

Could an observational study use a correlational design.

e.g. measuring effects of two variables on happiness, if you’re not intervening.

April 13, 2021 at 12:14 am

Typically, with observational studies, you’d want to include potential confounders, etc. Consequently, I’ve seen regression analysis used more frequently for observational studies to be able to control for other things because you’re not using randomization. You could use correlation to observe the relationship. However, you wouldn’t be controlling for potential confounding variables. Just something to consider.

April 11, 2021 at 1:28 pm

Hi, If I am to administer moderate doses of coffee for a hypothetical experiment, does it raise ethical concerns? Can I use random assignment for it?

April 11, 2021 at 4:06 pm

I don’t see any inherent ethical problems here as long as you describe the participant’s experience in the experiment including the coffee consumption. They key with human subjects is “informed consent.” They’re agreeing to participate based on a full and accurate understanding of what participation involves. Additionally, you as a researcher, understand the process well enough to be able to ensure their safety.

In your study, as long as subject know they’ll be drinking coffee and agree to that, I don’t see a problem. It’s a proven safe substance for the vast majority of people. If potential subjects are aware of the need to consume coffee, they can determine whether they are ok with that before agreeing to participate.

June 17, 2019 at 4:51 am

Really great article which explains observational and experimental study very well. It presents broad picture with the case study which helped a lot in understanding the core concepts. Thanks

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